RENOLOGY MEDICAL GROUP
NPI 1083705081
Internal Medicine - Nephrology in Glendale, CA

Active since September 27, 2006
1510 S CENTRAL AVE, SUITE 210, GLENDALE, CA 91204(818) 956-2111(818) 956-2122 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENOLOGY MEDICAL GROUP (NPI 1083705081) is a healthcare organization registered as a nephrology in Glendale, California and active in the NPI registry since September 2006. The organization lists Antoinette Granillo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083705081
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENOLOGY MEDICAL GROUP
Location Address1510 S CENTRAL AVE, SUITE 210Glendale, CA 91204-2500
Mailing Address1510 S Central Ave, Suite 210Glendale, CA 91204-2500 · (818) 956-2111 · Fax (818) 956-2122
Fax(818) 956-2122
Organization SubpartNo
Authorized OfficialAntoinette GranilloOffice Manager · (818) 956-2111
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1083705081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A24092
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1510 S CENTRAL AVE, Glendale, CA 91204

Other Identifiers 1

Medicaid00A240920CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1510 S CENTRAL AVE, #600
GLENDALE, CA 91204
Internal Medicine (Nephrology)
1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204
Internal Medicine (Cardiovascular Disease)
1510 S CENTRAL AVE, SUITE 650
GLENDALE, CA 91204
Podiatrist
1510 S CENTRAL AVE, SUITE 120
GLENDALE, CA 91204
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1510 S CENTRAL AVE, SUITE 530
GLENDALE, CA 91204
Specialist
1510 S CENTRAL AVE, SUITE 100
GLENDALE, CA 91204
Family Medicine
1510 S CENTRAL AVE, SUITE 130
GLENDALE, CA 91204
Orthopaedic Surgery
1510 S CENTRAL AVE, SUITE 500
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renology Medical Group's NPI number?

The NPI number for Renology Medical Group is 1083705081. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Renology Medical Group located?

Renology Medical Group is located at 1510 S Central Ave Suite 210, Glendale, CA 91204. The listed phone number is (818) 956-2111.

What is Renology Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Renology Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.